Individual
DR. CHARLENE ANN VESTERMARK HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102202971
VA
207RG0100X
Gastroenterology Physician
0102202971
VA
207RG0100X
Gastroenterology Physician
Primary
S4314
TX
Other
Enumeration date
05/02/2010
Last updated
01/20/2022
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